9625 SW SUMMERFIELD DRIVE 9625 SW S,_I'MERFIELD DRIVE
C3
m
w
N
E
E
7
Ln
D
cn
Ln
N
rs
i
L
2705 ff"I"
, .
_. ?�3�SpnYr�.•- _ ,•' + aar.�,a�xF�an'F�? rxa.G`e's'�• �:�-'�_�rr� � ,
�L-
P� OF cc -
�� C:ITY OF TIGARD
OREGON
Owner:. U.C.. ..............Permit No......?:428......... w.
Building Address.-..9_t,2.5...aLl...5wmpAff i.el.d__D>,_......L.gt...#338......................
Certificate is hereby given thte..:.19.......day of.....5�.p.temt,er....... 19.- 77
that said- building may be occupied and
that it complies with all-requirements of
the-Building Code for the City of Tigard, , K4.
as approved by the Tigard City Council. -
7
ouncil
Building Inspector ' `,.
vw,, • M ,.x' �1 :, (�,
n
.. ...n.T ...A�- rv^.-v7.,TlOMr<Pe'�Tw�wti....♦ r .,. .. ....w•�..�wwu..s.r�.Rww....w.....
1
V
Addresa� �1G S Permit No. %
Parmit charge
-i o2 t_
� a
Owner .e.r•l.�. C° Connection fee S7_S
Paid by �
Type of building -/2----7 Date conn6-:ted
/� 5 a-o
Service rete _ �p _ Inspection fe.��
Contractor __ Paid by Date
Size of connection �__ AssessmF,it paid
6 ✓, -'� j.r 1 He 1 1` 1, 1 1 r.�_-�
t2 �t
JI rr., 1 r 1 7 �1
toll
of
1 � Y �r fir•
� 7 r �Y �•j-' - G7 Er
A. MMF5EK 12EJ
U '."7
;Z. f ly G L1,56 ET f ./�/i•�� \.
A. SIVA
- - --- N 5 25
y �XIS�'C--. F-A 7 CC`S,.
'/'�`. •1 -. . \-� ,tiiClti���Q Grp. ���
Oki
�. rte.► 1 ,. r ..
A : ar
A oCC vN is 1.1 - --""
- F ✓rr7 - \\ Ira It *,v
STORCM CORPORATION / -
ENGiNEEay •�.�. t•pnrl�'1Q QNFk30N t
- _ —
Lob nu
ADD vow J ►. 2 X4-
HA4P
Y ,
j 5,. o„
H � VV S-7 # e S;
A SIM. 3
3
— 14 E:Xi C�-'T`G
I X4
r � A
(C75.L 2 X G
G 51M. o !
!I� �J)atM.
4s3� 4
-Lv-2 1- -��- �� - --41-(:OI!
;.�� � r>' •`� �-- 5l A F5U N 2 X Co TO r3 C.?;�- C-H C:-2 D
I
TU = . TIN -v,Fv _L�OP',v1LEN d ,. _ 'AW
GD�p.;F`.A ! ION STO"CH CORPORATION
i cnRcl�ed P—N.�
F'4r.'WEFAB P`On TLeNU.OPeCON i�eD�L
job n0 A
2 X4 5LUCK G. W/ Co • -
/'�.� .i.� ✓v6. 4; x ,
1
E A. SIVE A�2 N GW — _ 1 ro- 7. i-lop
2 5 W '2 1 �►T. CA.
X Co CNUR17 ' X 41 �I GUS5E1
i ICod 4°a,c.fCo �, PI.A"E EA.
GI H; 51 V
r3EA,K,ING WALLFIY. X121,X 3%2�
aA. SM :b�?° X ;2 u
'A p�i A ! L P� �E TAI L EA. 5It7c
�3 �4 �t � ! _ Olt 3 12't = I • C�p
VZ' PLY GUSSET
Cod EA.
M CMP>ER.
I>E T AI L
3 i• pu 3 1 3� It
NSW P5L. 2X4 WEa
2X4 Well
'2
ADD 2X6,
SLAB r; e� _
m; ;G i
- �- EXIS2 X 4 50TT. (- G 4 t:A. M E M 5,'Q,-/4.11, ac. ChU�LD jzGU55eT t�l.Aj�. `-- �XiST'.
ruLl. LENGTH EA SlPc i7P.bL 2XC�
3 I/2` I,- oil 3 1,t+ - oil
L AILIATINpaVEL.DPMENT drsr:, MW
STO►iCM CORPOAATION checked
ENGINEEF9 �, V� POATLAN0.011EG0N n
r Lob no. ��U 4, �
aIf IT
w IF
A IN 112 X 14
r 1
ctil PLA'E `UNC!. ` 2- oti eA . SIrJ�
1/2"FLY.x Iz"
v L<(3
PETA1 L.
P r v F t, 2F,-'l E N T
K., STORCH CORPORATION '
C O �P,9�AT10\J �h ►.�, , --
CNGINEEpA (/ k�� P(1RT1.4N0 OREGON
�► �r �► we we ems' ssr � ePf s!f
�i
City of Tigard
INSPECTION REQUEST
fo
INSPECTION TI'ME' in PERMIT NO. :
DATE ISSUED'. -_-�
OWNERS NAME '
AD DR E S S
CONTRACTOR :- -------
TF ST*
ONTRACTOR -----TEST: Air r7, Water [j
visual ❑ , Laboratory (]
RESULT: Approved Disapproved ❑ , Fending 'J
SKETCH: ,-
I SPECTOR DATE.
50TE . ,attach s ipplemental fest dato hereto)
i
City of Tigard
INSPECTION REGUES
or
IINSPECTION TIME ' T� PERMIT NO. : -..-
DATE:
O. : -..-DATE: 5 //0 77 DATE. ISSUED:_.L�`--
OW`JERS NAME ' _ 7 - 11 -C
` ADDRESS
CONTRACTOR :__.. --
TEST. Air D, Water Li ,, Visual 0 , Laboratory p
RESULT. Approved !3 Disapproved D Pending i
I SKETCH.'
I
I
I
I
iPE-CTOR DATE
I -OTE '. Attach supplemental tL data herst:,-]
I
i
II
' ` p i S,�rt.
�y o c i l eCliQn��Q, ?Qr `�_o Permit S3.u0
Fee
New nstailaCon Replace n Relocation r Addition ❑ Alteration C3 — -f
TOTALt
CONTRACTOR6:;k»_2A-L_ T- OWNER tc,� Q ,7�2-1j
AD7RESS WORK ADDRESS QS'--',� S11). C�.iarLf.1I 5l;
PHONE (S-& , 3 `�.6, APPLICANT
Heat Input Rat;nq IM Per Ho, 1M ghenr1A Vent Size ue Size
FUEL OIL n GAS ELECT OTHER
ITEM 'rJ. FEE ITEM NO. FEE
Fc-. !=z-cc of Permit 3.00 Boilers Over 50 l-!P 25.00
New- Ur-der 100,n-00 BTC; 4.00 Air Handling 10,000 CFM 3.0C
New Over 100 000 BTC; c nn A: Hand!;=Oyer 10,01Q,0 CFM RX
Floor Fumace 4.00Evaaorative Cooler 3.00
Wa!! - Floor - Suspended 4.00 I Vent Fan 2.0C
lnsta!l Vents 2M '. Vent Sy stem 3.0(
Repair- Heat & Coaling 4.00 i food 3.0C
Boilers 'Under 3 HP 4.00 Domestic Incinerator 5.00
Boi ers 3 to 15 HP 7.50 1' Comm. Incinerator 20.00
Boilers 15 to 30 HP 10.00 Other hot Listed 3.00
Boilers 30 to 50 HP 15.00
INSPECTOR'S COMMENTS-
C!TY BUSINESS LICENSE FISOL'IRED FOR-ALL CONTRA,^.TO"S OR SUB-CONTRACTORS
APPROVED RY DATE ISSUED BY ATS
RECEIPT NiO. Fr,
774 S;r:atur! of App"=r- ;
Y.
t�
lOflrl E. HEC�!i�AD( Pl'J'9B;1(`v, 1g BUILDING ULPAH I MILN 1, ( IC;ANU NO
PLUMBING PEI;rv111'
P. q. 60y �i9 -- -_-
NEI'i c1:1EI-Ti 91132 _ holder of a valid piurnbinq contractors license ;s hereby
authorized to cause plumbing work as herein noted to be installed in accord ince with the plurnbil' rode of
Tigard. Such installations require inspection by the City Inspector who rhall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Ownelt:.:l
Address.� 1
pU;�HER OF 1UTAI_ PE11MIT NO.'S
TYPE OF PERMIT ::::—
ITEMS F FEE Oil EACH AMOUNT ilice Use Only)
Sin�ln Fomily-1_both—each ,_� / - 25.00
Duplax--Foch 1 bath nni; _ 25.00�_,—
_Additional bathrooms—each _ — 7 10'00
Mob{le Flomo Space—each _�IJ 15.00
INDIVIDUAL FIXTURE FEES _ -- F 1 to 50 Fixtures in 1 buildirn—each _ d.00 _-- _ —
_ 51 to 100 Fixtures in 1 buildin —ench _ �_ 2.50 —
1C1 to 200 Fixtures in 1 buildin —each 2.00 _
201 or moro fixtures in 1 building each _ 1.5r,
MISCELLANEOUS � —Building Sower-1st 50 ft. 10.00 _ —
Sower—each additional 100 ft, 10.00
Water Servica to building _ 5.00
Private Wnter Systems—each 100 :t. __ 10.00
Other ISpncity►: — v —• T_
PERMIT :5' For Plumbing 11>spectiort Phone 6394191
°�6 State j, C>� Plumbing Contractor y Z1 -^
TOTAL RECEIPT NO. Issued By
Y� BUILDING PERMIT APPLICATION 11T TIGARD
DACE_ 4-27-'Z __ 19--
4
—_, 19—— 9
4OF
�
THE UNDERSIGNED HERE BY APPLIES FOR APE RMlT FOR T►IE WORK FIE REIN INDICATED BUILOERPHONF 63q-3101
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OW14ERPHONE—
LOT NO.
OWNERT aLj—L JOR ADDRESS 962'l 5IJ I AOWX'4DDRESS
ARCHITECT
. tTi�l, ENGINEER
BUILDER EN
ADDRESS _ DESIGNER
EN
STRUCTURE EW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
UR-EtSIDENCE ❑COMM ❑EDUCATIONAL ❑GOVT ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SI.AB ❑FENCE
JBOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY. _..LAND USE ZONE—FZ""?—BLDG.TYPE. -tN FIRE ZONE— PLAN CHECK BY___.ttAj___ NEAT
Lut #338 MK iS re—issue Game as 15581 SW "wmaierfield Land!_
from* dwelling W/attached raragca 2 bedroom 2 bath
40 20 11490 2 U0680.
NO.STOHIE"S.__. IFA NO.Bf..D8QQ17S _YALE _
BUILDING DEPARTMENT SET BACKS FRONT ld REAR LEFT SIDE 4061" RIGHT SIDE
Permit 136,01" _ --- ------THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10000 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAC THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLC CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4, 3f3 LICENSE. S PARATE PI
RMITS REGUIR D FOR SE R PLUMBING AND HEATING.
1'.i�)
Total —3E3 yvt(jit / UptTlfJn� .nag _ ��ac,("I,
. ;�
9Y ----
---+--r---- APP--,CANT OR AGUN7 -- --- -- -- --
Approved W Receipt No. 1
Ar)rF:sls 5
DATE INSP. TYPE INSPECTION ^_ �^ REMARKS _� PLUMBING^� DATE
Contractor �
Permit No. � �
GO - _ ►{ti_ � — Rough-in
6 2 1') �s Fixture
2 G A S I�I5A00 ov � A/o I0QESStORE Final
- �^� Fes-
- ^I (�G"TJ�'1 Qlcad- w'� - �lLuoOco v7L4- �t rcc HEATING
ZL 4","q A 14 Q Contractor
-z- 6 A S Permit No.
Gas or Oil _
Rough-in
Final
-- --- — SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
A roach _
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CLRTIFICATF OCCUPANCY
Landscaping
Zoning Final
IT APPLICATION TIGARD
THE UNDERSIGNED HEMY APPLIES FOR A PEnMIT FOR THE WORK HE71CIN INDICATED
AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE-
OR0039 'J�Ui
CtADDFiCSS ,] BUIt-o!-n PHONE
ENCINr-Etl
11:11L�rR �i /1RC!i1T1 CT Dr-SIGNrFI-
STFII!r,T;j 1C Utim ❑nER10nCL ❑ADDITION ❑nEPAIR DRENE-NAL ❑FInr- DAMAGE ❑DEMOLITION
a ES40f:NCE ❑Comm ❑EDUCATIONAL ❑GOVT ❑RELIGIOUSOPATIO ❑CARPORT ❑GARAGE ❑STORAGELISLAD QFENCE
i�tC!�:� C�htQV�NG ❑_CONDITIONAL USE ❑DESIGNAEVIEW ❑COUNCILAPPnOVED ❑SIGNS__ _
=
--l-AND- •- _. ——Tl f c�FlnE ZON[-d' PLAN CHECK nY�,A / -- HC/'-T
- I
USF 7n Jf__ -pLDG. _
J
nr.0 I nA!' - ---F100n LnAr, - (� I-IFIGIIT 20NO_.TtlntEs AnrA_ I� Vn► 1 (
--- i. J6IILNN17Cvtf tlf } ;L l' nACKS PfI0NT 40 1'-,111 Lrr SMC SIOC
--
-� r:iIS PEnNllT IS ISSUED SUGJECT TO THE'RCGULATIONS CONTAMED IN THE OUILDIUG C.DC, ZONING
Pian Chc:!; it t ---JC) REGULATIONS AND ALL APPLICAnLE CODES AN) OiiDINANCES, AND IT IS HEREBY AGREED THAT THE
'l10nK WILL Or;, OCHE IN ACCO11MANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Hc-.Crci nq " ALL APPLICAOLE CODES AND MIMINANCE THC ISSUANCE OF THIS PE11MIT DOES NOT WAIVE
—" "- nLSTIIICTIVE COVC,IANTS. CUPITRACI OR AND SUO CONTnACTOBS TO HAVE CURRENT CITY OUSIN:'S
is Satc _ �� i i LICENSE. SEPARATE PERMITS REOUInED Fail SEWER, PLUMBING AND HEATING.
Total
—mss
i! APPLICANT On G NT
Ap;,:o _! �' � receipt No.
AOOIILSS PHONL
� - SEWER PERMIT /'-P7., ,
Nu 12149
Unified Sewerage Agency 4-27-77
of Washington County CITY OF Ti nn rH DATE
6
PHONE : 39-3101
OWNER : T.U.C . ..,
OWNER ' S ADDRESS: ___
TYPE OF INSTALLATION:
❑X BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
[X]NEW SINGLE FAMILY ❑ COMMERCIAL
❑F_XIST . (PRIOR TO 7- 1-70 ) ❑ MULT . RES. U INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
PERMIT CONDITIONSt THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN ONE—HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE
CONNECTION CHAR%E _ 575'_ /
SIDE SEWER INSTALLATION
ISSUED '8Y
OTHER
TOTAL $�r-,nn _
r -
( APPLICANT DATE
SEWER PERMIT N 12149
ADDRESS OF STRUCTURE—.--q621:, _SLID
TAX MAP TAX LOT SYSTEM Fanno Creek
LOT 33B BLOCK — OF _
APPROVED BY DATE ISSUED BY DATE
REMARKS_ Bldg. #1428
CITY OF TICAND
ORDINANCE rr77-26
STREET SYSTEM DEVELOPMENT CHARGE
QUAIL : 4-27-77 _ ESTIMATED SALES PRICE
APPLICANT NAME___T.D.C. TELEPHONE T;' 639_3101
JOB ADDRESS—.__ 9625 SW Summerfield Dr.�T_ BLDG. PERMIT # 1428 _
AMOUNT OF FEE FOR S. D.
DESCRIPTION OF IMPROVEMENT _ si igle family dwellingT-^
E X E M P T I`a N S -PER ORDINANCE -1177-26Tr
FEE RATES:
A. Single family d4:elling unit under $60, 000. --------- e44300. 00
9. Single family dwelling unit over $60, 000. - ------ $40C'. 00
C . Mobile Nome Court Space (Now Development)---------- $150. 00
D. Multi-Family Dewllings--per unit------------------- $240. 00
E . Commercial , Industrial & Institutional(Park. Space) S 50. 00 Each
F . Single family unit under $40, 000. ----------------- $250. 00